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High cost devices

  • Last modified date:
    3 March 2011
  • Gateway reference:

There are a number of devices excluded from the Payment by Results (PbR) tariff. Excluded devices are those that represent a high and significantly disproportionate cost relative to the cost covered under the relevant HRG. In addition, the device may be used in only a subset of procedures within the relevant HRG or in a subset of providers that deliver services under that HRG. Devices that are new to the NHS (in the last three years) may not be reflected in reference costs and therefore the final tariff price, and as a result, considered for exclusion. Excluding certain devices means that additional funding can be locally agreed over and above the national mandatory tariff.

Exclusion criteria

The following guidelines, linked to current or expected future use, are intended as an appropriate indication of the devices that may be considered by the High Cost Devices Steering Group for inclusion on the High Cost Devices list:

  • New to the NHS since 2009-10 and likely to be in use up to and including 2012-13
  • High cost and represent a disproportionate cost relative to the relevant HRG
  • Used in a subset of cases within an HRG
  • Used in a subset of providers delivering services under a specific HRG

The link below will take you to the new High Cost Devices request portal:

The excel template below will assist you in the completion of the web based portal.  The sheet "Portal Template" can be used in order that you can gather the required information locally before entering the data into the High Cost Devices portal.

The final date for proposals to be considered for exclusion (and inclusion) to PbR in 2012 -13 is 31 March 2011. The request portal will remain on the website and any requests received after this date will be considered for future years.

This request portal should not be used for High Cost Drugs. High Cost Drugs have a separate portal available from:

The list of excluded High Cost Devices for 2011-12 can be found in the tariff information spreadsheet, available on the confirmation of Payment by Results (PbR) arrangements for 2011-12 page, at the following link:

Additional links

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